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This product is not recommended for use when selenium intake from pasture is high or provided by other means (such as top dressing, vaccine, pellets or selenium drenches)

Underlying health conditions can also lead to low B12 levels

However, its good to know that maca extracts may have estrogen-like properties, so you shouldnt use these supplements if you have any hormone-sensitive conditions, such as endometriosis, breast cancer, uterine cancer, ovarian cancer, or uterine fibroids [23]

2 Ultimately, current evidence supports a common-sense approach: when maintained within a healthy range, vitamin B12 plays an essential role in supporting overall health and well-being